Individual provider · Type 1 NPI
Shawn Mikeal Fettig, LD
Denturist · Vancouver, WA
NPI number
1942398524
Active
Practice location
2701 NE 114 Ave, #K6
Vancouver, WA 98684-4289
Fax (360) 891-8361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | ON00000393 (WA) |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
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About NPI 1942398524
Shawn Mikeal Fettig, LD's National Provider Identifier is 1942398524, issued on Oct 10, 2006. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.